| NPI | 1811081292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: NM 391) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: NM 391) |
| 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-01498) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2016-04-05 |